Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $99.66 / $277.08	Facility		$99.66	$99.66	$277.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $99.66 / $132.85	Professional		$91.23	$99.66	$132.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.72 / $471.46 / $1,064.54	Facility		$296.72	$471.46	$1,064.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.31 / $131.07 / $400.98	Facility		$88.31	$131.07	$400.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $157.97 / $283.94	Professional		$107.34	$157.97	$283.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $241.30 / $386.60 / $727.07	Professional		$241.30	$386.60	$727.07
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $260.86 / $298.30 / $346.54	Professional		$260.86	$298.30	$346.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $76.30 / $2,500.00	Professional		$32.34	$76.30	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.79 / $317.22 / $511.19	Professional		$154.79	$317.22	$511.19